Active NPI
Dyanna Marie Harrison, AGACNP-BC
- Acute Care Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP8002
- Practice address
- 5555 W Thunderbird Rd
Glendale, AZ 85306-4622 - Phone
- (602) 865-5501
- NPI assigned
- Jul 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP8002 | AZ | Primary |
| Nurse Practitioner | 363L00000X | AP8002 | AZ |
Addresses
Primary practice location
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Mailing address
9807 E Larkspur Dr
Scottsdale, AZ 85260-5145
Phone (480) 330-2109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP8002 | AZ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America- Arizona, PC | Current | Accepting new patients | |
| North Valley Emergency Specialists | Current | Accepting new patients | |
| Progressive Medical Associates PLLC | Nurse Practitioner | Current | Accepting new patients |
| Cep America - Arizona PC | Current | Accepting new patients |
Locations
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Chandler, AZ
- NPI 1780202804
-
- Emergency Medicine Physician
- Glendale, AZ
- NPI 1285655209
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1548218613
Nurse Practitioner
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1356021190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1982089215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9807 E LARKSPUR DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605145",
"telephone_number": "480-330-2109",
"fax_number": "480-968-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 W THUNDERBIRD RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064622",
"telephone_number": "602-865-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DYANNA",
"middle_name": "MARIE",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "AP8002",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP8002",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.